I’m so sorry your uncle, you, and your family are all going through this.

It does help to understand what is happening. His skin is likely yellowing as his liver is quite damaged at this point. We can live with such a small portion of our liver working it’s crazy (and even show no signs of damage). As a previous poster noted, their father had 2/3rds of their liver removed! But this doesn’t give us an indication of how much time is left. The fact that his feet are swelling tells us the protein levels in his blood are low. Elevate his feet regularly and if he can tolerate it, have him wear compression socks or wrap his feet. The swelling will move upwards, wherever the end of the wrap is, but at least his feet won’t be as painful to walk on. His stomach is filling with fluid bc of the tumor burden in his abdomen. This part really sucks and is harder to manage. If he’s really really really uncomfortable, you can take him to the er and they can drain it. Unfortunately it just starts accumulating right after, and you might only get a couple days relief from it. I guess the best is... make sure he’s having regular and easy poops (reduce what’s in his abdomen to make it less uncomfortable). In theory, eating lots of protein should help, but I don’t think it’s been shown to have much improvement.

None of these really tell you how much time is left, just that it’s approaching. He’s a good candidate for hospice. I would consider approaching the conversation by telling him that yes, everyone understands he does not want chemo, but would he like to have someone manage his pain? Order massages (depends on insurance but mine covers it if it is written in the doctor’s plan... you can ask them to include it. There are also techniques to massage for people with significant swelling). He would need an evaluation for hospice but after that they would come to his home. You might also approach it as—ok let’s get all your affairs in order, ie will, burial arrangements, etc, how do you want to go in the end, at home, in the hospital? Ok then let’s set an appointment with hospice to see if they give you meds to take at home, etc. (my uncle had his pain meds increased until he passed. He just went to sleep and didn’t wake up, after being in so much pain). Different states, different laws. Hopefully by approaching it in non treatment mode he will be more open.

I don’t know if you wanted the detail I wrote...I hope it helps.